Organization
ALL AGES CHIROPRACTIC CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL B BLUM D.C. (CHIROPRACTOR)
(818) 980-5141
Entity
Organization
Contact information
Practice address
10449 MAGNOLIA BLVD, NORTH HOLLYWOOD, CA 91601-4111
(818) 980-5141
(818) 980-9717
Mailing address
10449 MAGNOLIA BLVD, NORTH HOLLYWOOD, CA 91601-4111
(818) 980-5141
(818) 980-9717
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC21594
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC21594
PTAN
CA
Enumeration date
01/15/2013
Last updated
01/15/2013
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